Psychiatry Changes for 2013(June 2013)

June 2013 pages 3-5 Psychiatry Changes for 2013 For 2013, major changes were made to the codes in the Psychiatry section of the Current Procedural Terminology (CPT®) code set. This article provides an overview of those changes. Psychiatric Diagnostic Procedures Some psychiatric services provided by physicians and other qualified health care professionals may be reported with an Evaluation and Management (E/M) code when appropriate (eg, 99201 - 99255 , 99281 - 99285 , 99304 - 99357 , 99341 - 99350 ). The E/M codes may be reported for evaluation and/or treatment of psychiatric conditions, rather than using the psychiatry services codes...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains major 2013 changes to the CPT psychiatry section and is aimed at coders, billers, and clinicians who report psychiatric services. It covers the restructuring of diagnostic and psychotherapy reporting, the introduction of new add-on reporting concepts, and the relationship between psychiatry services and E/M coding in different care settings.

Why This Topic Matters

Psychiatry services were significantly revised for 2013, so accurate reporting depends on understanding which CPT psychiatry options were deleted, added, or revised, and how they relate to E/M services and add-on reporting.

Article Sections

  1. Psychiatric Diagnostic Procedures

    Introduces the 2013 changes affecting psychiatric diagnostic reporting and the broader relationship between diagnostic psychiatry services and E/M services.

  2. Coding Tip

    Provides brief guidance related to repeat diagnostic evaluations and same-day service reporting considerations.

  3. Psychotherapy

    Describes the streamlined psychotherapy reporting structure for 2013 and its relationship to same-day E/M services and time-based reporting.

  4. Coding Tip

    Summarizes timing concepts that apply to the psychotherapy codes and the revised unit-of-service structure.

  5. Interactive Complexity

    Explains the addition of a new psychiatry add-on concept and the general communication factors associated with it.

  6. Psychotherapy for Crisis

    Covers the crisis psychotherapy reporting category and its place within the 2013 psychiatry update.

  7. Other Psychiatric Services or Procedures

    Addresses other psychiatry services affected by the 2013 revisions, including pharmacologic management reporting and related add-on use.

  8. Coding Tip

    Highlights general add-on code principles within the psychiatry section and summarizes the categories of add-on reporting addressed in the article.

What You Will Learn

  • How the 2013 CPT psychiatry section was reorganized
  • Which types of psychiatric services were moved into or coordinated with E/M reporting
  • How psychotherapy and crisis-related psychiatry services were updated for 2013
  • How interactive complexity and other add-on concepts fit into psychiatry reporting
  • How medication-management reporting was affected by the 2013 changes

Who Should Read This

  • Medical coders
  • Billing staff
  • Psychiatrists
  • Psychologists
  • Other qualified health care professionals who report psychiatric services

Codes Discussed

Code Ranges Discussed


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